Philip Fried MD PLLC

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

160340 Issued in NY

Legal business name

PHILIP FRIED MD PLLC

Practice address

20 Old Mamaroneck Rd
White Plains, NY 10605-2060

Phone

(914) 949-6070

Fax

(914) 949-4560

NPI assigned

Oct 11, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Philip Fried, MDNPI 1487654596

Title

Owner

Phone

(914) 949-6070

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Philip Fried, MD

  • Dermatology Physician
  • White Plains, NY
  • NPI 1487654596
  Medicare reassignment Care Compare group Authorized official
• Ellen Donna Teplitz, MD

  • Dermatology Physician
  • Tuckahoe, NY
  • NPI 1174683742
  Medicare reassignment Care Compare group NPD
• Peter G Burk, M.D.

  • Dermatology Physician
  • Bronx, NY
  • NPI 1619075389
  Medicare reassignment Care Compare group
• Matthew Brett Quan, M.D.

  • MOHS-Micrographic Surgery Physician
  • New York, NY
  • NPI 1578535910
  Medicare reassignment
• Shira Wieder, MD

  • Dermatology Physician
  • Bronx, NY
  • NPI 1104211580
  Medicare reassignment
• Henry Yu

  • Physician Assistant
  • Bronx, NY
  • NPI 1629043096
  Medicare reassignment
• Nicole Faldmo, PA-C

  • Physician Assistant
  • Gilbert, AZ
  • NPI 1679809008
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1381449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381449600000",
    "number": "1265869077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 OLD MAMARONECK RD",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106052060",
            "telephone_number": "914-949-6070",
            "fax_number": "914-949-4560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 OLD MAMARONECK RD",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106052060",
            "telephone_number": "914-949-6070",
            "fax_number": "914-949-4560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP FRIED MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-11",
        "last_updated": "2013-10-11",
        "status": "A",
        "authorized_official_last_name": "FRIED",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-949-6070",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NY",
            "license": "160340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shoshana Peyser, LCSW-R, PHD
• Cynthia Pfeffer, MD
• Marina Pfeiffer, M.S. LMHC
• Jennifer Phelan, RN
• Philip Fried
• Philip Zuckerman, MD, PC
• Emily M Philip, PA-C
• Asani Ivor Phillips, MD
• Evelena A. Phillips, SLP
• Phyllis a Sattler Mental Health Counseling PLLC

• Procedural Dermatology Physician in White Plains, NY
• Providers in White Plains, NY by specialty
• Procedural Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.